Twitter Facebook Feed

Polycystic Kidney Disease

c kidney disease to develop hypertension, or high blood pressure, places them at risk of stroke, cardiovascular disease, and organ failure. High blood pressure is a result of blood pulsating through vessels at an abnormal force. However, hypertension can be controlled with medication, diet and exercise. Kidney stones, though painful, can also be extracted surgically. However, hematuria causes severe bleeding, anemia and chronic fatigue; and the loss of blood may necessitate transfusion. Patients with diverticulosis develop tiny sacs in the colon and may have to be hospitalized as the bowels become impacted and infected. Cysts may also form in other parts of the body, resulting in other disorders which may have to be addressed and treated. "The thief cometh not, but for to steal, and to kill, and to destroy: I am come that they might have life, and that they might have it more abundantly. I am the good Shepherd: the good Shepherd giveth His life for the sheep" (John 10:10-11).

There are three types of polycystic kidney disease: acquired, autosomal dominant, and autosomal recessive. People with acquired cystic kidney disease usually have experienced chronic disorders over a long period of time and may have developed the disease after being on long-term dialysis. Accounting for 90 percent of cases, autosomal dominant disorders are those which are inherited. Since the disease is progressive, patients may be unaware of the condition until they are 30- or 40-year-old adults. Autosomal recessive PKD, though rare, can develop in the fetus and go undetected until health issues manifest. Symptoms of the disorder, which may appear in later life, include pain in the back and flank, persistent headaches, blood in the urine, and chronic urinary tract infections. Polycystic kidney disease is difficult to detect without an ultrasound of the kidneys and other organs, along with reviewing a history of family members who may have had the condition. Nephrologists can also study a patient's genes to detect autosomal dominant or recessive markers which would indicate the presence of PKD.

Treatment for polycystic kidney disease is limited to management of pain, high blood pressure, and infection. Physicians will prescribe drugs for managing pain that will not cause further damage to organs; while antibiotics are used to treat chronic urinary tract infections. Nearly half of people affected with PKD will have to endure a lifetime of dialysis, as kidney mass is replaced with cysts and the organs cease to function. Transplant surgery is another option in advanced cases. Hemodialysis utilizes an artificial kidney machine to filter and cleanse an individual's blood. Doctors place a permanent tube, or port, in the patient's leg or arm which enables them to be hooked up to the hemodialysis machine. The blood is pumped out of the body and through the machine, where it is filtered and cleansed; then returned back into the body via specialized tubing. Most patients must undergo the procedure two or three times per week and adhere to a strict diet, fluid intake, and exercise program.

Patients with advanced polycystic kidney disease may also experience a better quality of life with peritoneal abdominal dialysis, a process which utilizes the abdominal cavity to cleanse the blood and body of toxins. Peritoneal patients have permanent tubes inserted into the stomach, from which a saline dialysis solution can be poured from a portable machine. The solution performs the work of the kidneys, eliminating waste and re-circulating clean fluid through the stomach, and drained. People with polycystic kidney disease who elect to use peritoneal dialysis must filter the body every twenty-four hours. Patients can go through the procedure at night while asleep and alleviate the stress of having to go to the clinic for treatment. While dialysis prolongs life, there are side effects. Some individuals experience fatigue and nausea after the procedure; infections can develop at the port or site of entry; the body can retain fluid; and the skin may become darker. The inability of the kidneys to properly filter impurities may also make patients prone to skin rashes. Patients who fail to adhere to strict dietary requirements also run the risk of raising fluid levels, which hampers dialysis.

Candidates for a kidney transplant are individuals who have developed complications with dialysis or suffer from advanced polycystic kidney disease. End stage renal disease, or ESRD, affects those whose organs have ceased to function. Transplant patients may have a long wait for a suitable organ if a donor match cannot be found. Relatives, friends, and spouses may volunteer to donate an organ as long as the blood type and condition of the organ are compatible with the patients. In spite of a devastating diagnosis of PKD; researchers, nephrologists, and biologists are hard at work on improving treatment and eliminating the causes of genetic disorders.

0 коммент.:

Отправить комментарий